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821 Sage Ave Kemmerer WY 83101-3127 | |
| (307) 877-4466 | |
| (307) 877-9832 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 821 Sage Ave, Kemmerer, Wyoming |
| Authorized Official Name and Position | Kipp L Dana (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3078859883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
821 Sage Ave Kemmerer WY 83101-3127 Ph: (307) 877-4466 | 821 Sage Ave Kemmerer WY 83101-3127 Ph: (307) 877-4466 |
| NPI Number | 1972624062 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972624062 | NPI | - | NPPES |
| 117847400 | Medicaid | WY |
High Country Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Sage Ave, Kemmerer, WY 83101 Phone: 307-877-4466 Fax: 307-789-9832 | |
South Lincoln Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Onyx St, Kemmerer, WY 83101 Phone: 307-877-4401 Fax: 307-877-3236 |